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A Journal on Obstetrics and Gynecology


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Minerva Ginecologica 2002 February;54(1):59-62

Copyright © 2002 EDIZIONI MINERVA MEDICA

language: English

Transvaginal color Doppler ultrasound for de novo ovarian carcinoma. How a good chance can be missed

Zanetta G., Fiana L., Urso M., Ratti M.


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Early de novo ovarian cancer is one of the most challenging entities in gynecologic oncology as early diagnosis is extremely difficult. We describe the case of a 77-year woman who had incidental diagnosis of normally shaped ovaries with low resistance blood flow. Despite the suspicious finding and despite the documentation of elevated serum CA 125 levels she did not undergo surgery. Twelve months later she was found with an enlarged ovary. Laparo-tomy documented a stage IIIB ovarian carcinoma. Lack of communication among subspecialists and incomplete acceptance of new diagnostic aids contributed to this disappointing case.

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